H54.4
Non-Billable

Blindness, one eye

Non-Billable / Non-Specific Code

What is Blindness, one eye?

ICD-10-CM H54.4 is the diagnosis code for Blindness, one eye. This code falls under the section "Visual disturbances and blindness" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for H54.4

✅ This Code Includes

  • Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye]

ICD-10-CM Code Hierarchy

Understanding where H54.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
H54.40Blindness, one eye, unspecified eyeBillableH54.41Blindness, right eye, normal vision left eyeNon-BillableH54.413Blindness, right eye, category 3Non-BillableH54.413ABlindness right eye category 3, normal vision left eyeBillableH54.414Blindness, right eye, category 4Non-BillableH54.414ABlindness right eye category 4, normal vision left eyeBillableH54.415Blindness, right eye, category 5Non-BillableH54.415ABlindness right eye category 5, normal vision left eyeBillableH54.42Blindness, left eye, normal vision right eyeNon-BillableH54.42ABlindness, left eye, category 3-5Non-BillableH54.42A3Blindness left eye category 3, normal vision right eyeBillableH54.42A4Blindness left eye category 4, normal vision right eyeBillableH54.42A5Blindness left eye category 5, normal vision right eyeBillable
Related Codes

Frequently Asked Questions

Is H54.4 a billable ICD-10-CM code?

No, H54.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H54.4 mean?

H54.4 is the ICD-10-CM diagnosis code for "Blindness, one eye". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H54.4?

The parent code of H54.4 is H54 ("Blindness and low vision"). H54.4 provides a more specific classification within this category.

What section is H54.4 in?

H54.4 is located in Section H53-H54 — "Visual disturbances and blindness" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H54.4?

H54.4 has 3 sub-code(s) that provide more specific detail: H54.40, H54.41, H54.42.

When should I use H54.4?

Use H54.4 when the patients documented diagnosis matches "Blindness, one eye" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Blindness, one eye?

The ICD-10-CM code for Blindness, one eye is H54.4.

Can H54.4 be used for primary diagnosis?

No, H54.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H54.4 in?

H54.4 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H54.4 valid for 2026?

Yes, H54.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH54.3Unqualified visual loss, both eyesNext →H54.40Blindness, one eye, unspecified eye
Code Details
H54.4
Blindness, one eye
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H53-H54 — Visual disturbances and blindness
2026 ICD-10-CM